Ch 1

When assisting a client with health promotion, what must the nurse also nurture? A - A healthy environment B - Knowledge of the Healthy People 2020 indicators C - Family communication D - School/work attendance

A - A healthy environment

What is the nurse's focus while conducting a health assessment with a client? (More than one) A - Completing the health history B - Interpreting findings C - Formulating a plan of care D - Implementing a plan of care E - Conducting a physical exam

A - Completing the health history E - Conducting a physical exam

A nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the client's skin color and temperature of the extremities. What is the purpose of this ongoing or partial assessment? A - Determine any changes from the baseline data B - Collect subjective data related to the client's overall health C - Perform a rapid assessment for prompt treatment D - Evaluate whether outcomes of treatment are met

A - Determine any changes from the baseline data

An older adult client had hip replacement surgery 2 days ago. The nurse enters the client's room and encourages the client to use the incentive spirometer 10 times every hour. What is this action an example of? A - Nursing intervention B - Nursing goal C - Nursing evaluation D - Nursing assessment

A - Nursing intervention

A medical exam differs from a comprehensive nursing exam in that the medical exam focuses primarily on the client's: A - Physiologic status B - Holistic wellness status C - Developmental history D - Level of functioning

A - Physiologic status

A client admitted to the health care facility has a family history of diabetes mellitus. A nursing health assessment for this client should focus on collection of data in which of these areas? A - Psychological, physiologic, sociocultural, developmental, and spiritual data B - Focuses primarily on the client's physiologic development status C - Involves the client's musculoskeletal system and ADLs D - Focuses only on the client's psychological, sociocultural, and spiritual well-being

A - Psychological, physiologic, sociocultural, developmental, and spiritual data

An assessment of a client who already has a complete recorded database in the system and returns to the health care agency with a specific health concern is referred to as a(n): A - Ongoing or partial assessment B - Focused or problem-oriented assessment C - Emergency assessment D - Initial comprehensive assessment

B - Focused or problem-oriented assessment

The nurse has completed a health assessment on an older adult client being seen at a neighborhood clinic. What client-specific info should the nurse identify as being a priority? A - Lives alone B - Significantly impaired hearing C - Widowed 2 years ago D - Greatly concerned about cost of services

B - Significantly impaired hearing

The nurse is preparing to meet a client in the clinic for the first time. After reviewing the client's record, the nurse should: A - Analyze data that have already been collected B - Review any past collaborative problems C - Avoid premature judgments about the client D - Consult with the client's family members

C - Avoid premature judgments about the client

A client presents to the health care facility with reports of new onset of chest pain of 3 days duration. Vital signs are stable and the chest pain has subsided since the client entered the exam room. Which type of assessment is most appropriate for a nurse to perform for this client? A - Emergency B - Partial C - Comprehensive D - Focused

C - Comprehensive

A nurse is caring for 3 clients whose care involves complex situations and multiple responsibilities. What is the key to resolving problems for this nurse? A - Diagnostic reasoning B - Physical assessment C - Critical thinking D - Nursing care plan

C - Critical thinking

A nurse is assessing the cognitive function of a 13-year old boy who is in the hospital following a head injury sustained while playing football. The boy acts annoyed with the assessment questions and asks how often he will have to answer them. The nurse should respond with which of the following? A - "Fortunately, assessment only needs to be done at the beginning of your stay" B - "I'll just need to evaluate you once more, at the end of your stay" C - "Typically, assessment occurs once at the beginning of your stay, once in the middle, and once at the end" D - "I'm sorry, but assessment is ongoing and continuous"

D - "I'm sorry, but assessment is ongoing and continuous"

A nurse is preparing to obtain subjective data during the initial comprehensive assessment from an older client who recently underwent amputation of her lower leg. Which skill will the nurse most need to perform this assessment? A - Inspection B - Palpation C - Sympathy D - Empathy

D - Empathy

An assessment that concentrates on patterns of role performance that all humans share is called what? A - Head-to-toe B - Body systems C - Focused D - Functional

D - Functional

Which of the following statements best conveys the rationale for health promotion in a school setting? A - Health promotion in a school setting can yield improved health outcomes for the student's siblings and parents B - Children younger than 13 years are some of the most common consumers of acute health care services C - Children contract numerous communicable diseases in the school environment D - Healthy child development is a critical health determinant b/c of its implications for lifelong health

D - Healthy child development is a critical health determinant b/c of its implications for lifelong health

What is one of the broad goals within nursing? A - Provide cost effective care B - Form board nursing diagnoses C - Promote self-care D - Treat human responses

D - Treat human responses